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Maori and Pacific Mental Health

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Bhavisha Daya

on 16 May 2014

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Transcript of Maori and Pacific Mental Health

Maori and Pacific Mental Illness
Models of Health
Relevant Research
Eager et al. 2005
Bushnell 2005
Durie 1999
Implications and Applications
Critical Commentary

History of Maori Health
Before Colonisation
During Colonisation
Post Colonisation to the present

Traditional Views
Health is Holistic but as separate aspects joint together

Seen as a combination of spirituality and cognition/emotions
Maori views of health depended on
Belief in the power of mind
Vulnerability of a number of deities
Gives the spiritual basis for illness

Missionaries Whalers, Settlers
1840 Treaty of Waitangi
New Social and Economic systems
1860’s Land Wars
Allowed the settlers to assert themselves
Government became stronger
Health Politics led to
Forcing Maori to passive consumer roles

Parallel Views
1960-70s Cultural factors play a role in health and well being
National Mental Health Consortium in 1989 showed that Maori groups have expressed skepticism in the contemporary methods of diagnosis and treatment
Parallel approach to health
See the benefits of both

The role of the tohunga
Understanding of Mental Health
Depression as an example
Social (Family)
Te Whare Tapa Wha
Relevant research
Tapsell & Mellsop
Reviewed a number of studies interested in Maori Mental Health Issues
Two Key studies that they mentioned were:
Eager 2005
Questioned the reliability of Western Measures for Maori Mental Health Patients
Bushnell 2005
Looked at the relationship between Mental Health and Deprivation
Self Harm and Depression were under represented
Suicide and Aggression were over represented
Showed that deprivation cannot account for all the variation noted between ethnic groups
Durie 1999
Secure Identity

Active participation
Improving quantity and quality
Accelerated workforce development
Autonomy and control
from the research we can see that the focus of research, practice and training have great leaps for improving the Mental Health of Maori and Pacific Peoples
Mason Durie
Te Pae Mahutonga
Critical Commentary
Tick the Box!
Durie, M. (1995). Mental Health Patterns for New Zealand Maori. In I. Al-Issa (Ed.), Handbook of culture and mental illness: An international perspective (pp. 331-346). Madison, CT: Intl Universities Press.
Durie, M. (1999a). Mental Health and Maori Development. Australian and New Zealand Journal of Psychiatry, 33, 5-12.
Durie, M. (1999b). Te Pae Mahutonga: a model for Mäori health promotion. Health Promotion Forum of New Zealand Newsletter, 49, 2-5.
MA Oakley Browne, JE Wells, KM Scott (eds). 2006. Te Rau Hinengaro: The New Zealand Mental Health Survey. Wellington: Ministry of Health.
Pulotu-Endemann, F. K. (2001). Fonofale Model of Health. Wellington: Massey University.
Rochford, T. (2004). Whare Tapa Wha: A Maori model of a unified theory of health. Journal of Primary Prevention, 25(1), 41-57.
Tapsell, R., & Mellsop, G. (2007). The Contributions of Culture and Ethnicity to New Zealand Mental Health Research Findings. International Journal of Social Psychiatry, 53(4), 317-324. doi: 10.1177/0020764006074525
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